Student ___________________ Date of Rotation_____________ Surgical Floor (4th) OBJECTIVES After participation in this rotation, the Health Science student will gain knowledge of various procedures that are performed on the Surgical floor, will be able to identify what types of staff members are employed on the units and their roles, and will be able to identify the important aspects of care on the surgical floor. PRE-ROTATION ASSIGNMENT Instructor__________ Define the following terms: 1. dehiscence 2. evisceration 3. atelectasis 4. nosocomial infection 5. NPO 6. Sequential Compression Devices (SCD) 7. TED hose 8. prosthetics 9. Advanced Directive/Living Will 10. Do Not Resuscitate 11. PICC line 12. Central Venous Catheter 13. Describe the difference in a thrombus and an embolus. 14. Explain why it is so important that a patient is NPO after midnight the night before surgery. 15. What are the potential side effects of anesthesia on a patient’s elimination patterns? (bowel movements) 16. Explain different methods of post operative pain management. 17. Describe the benefits of early ambulation in the post operative period. 18. What preparation is required prior to sending a patient to surgery? 19. Describe the benefits of having a patient “turn/cough/deep breathe” after surgery. How often is it to be done and documented? 20. How often is a pain assessment done and who is responsible for this assessment? 20. After giving pain medication to a patient, what would be extremely important for the nurse to do for follow up and when? 21. Describe five safety measures used on the surgical floor (and others) to prevent patient falls. 22. Describe the schedule for taking vital signs post surgery. Why is it so important to stay on schedule? What information can be gathered with the post op vital signs? 23. What are some common fears of surgical patients prior to surgery? 24. Why are post operative patient’s meals ordered from NPO to clear liquids, then to full liquids, to light diet, then eventually to regular diet? This is called diet advancement. Surgical Floor (4th) Thank you for mentoring the Denton ISD Health Science student on your unit. Your time and leadership is greatly valued and I appreciate your feedback on student performance while on your unit. OBSERVED/ASSISTED 1. Preparation for Surgery a. removing and storing prosthetics __________/_________ b. removing cosmetics __________/_________ c. securing valuables __________/_________ d. skin preparation __________/_________ e. checking pre-op list __________/_________ 2. Post-Operative Assessment a. vital signs __________/_________ b. patient shift assessment __________/_________ c. patient admission assessment __________/_________ d. surgical site assessment __________/_________ 2. Post-operative Care a. transfer from stretcher to bed __________/_________ b. raising bedrails/call light in reach __________/_________ c. repositioning __________/_________ d. Intake and Output __________/_________ e. pain management __________/_________ f. post operative ambulation __________/_________ ___________________________ Mentor Signature __________________________ Date Evaluation Sheet for Clinical Rotation Student name: _______________________________________________________________________ Rotation site: ___________________________________ Date: ____________________ Please evaluate the student for each category and mark the appropriate box. The scale proceeds from a high of 5 to a low of 0. Area of Evaluation 5 4 Presents proper appearance: Professional grooming. Neat and clean. Meets professional standards. Attitude toward learning: Takes initiative and seeks opportunities to learn. Asks pertinent questions. Demonstrates enthusiasm. Exhibits emotional maturity. Observes rules: Observes safety factors. Demonstrates understanding of Medical Ethics and Confidentiality. Quality of work: Uses proper techniques. Takes pride in work. Exhibits ability to follow directions. Quantity of work: Follows directions. Completes tasks on time. Productive use of time. Cooperates with others: Works well with others. Readily assists others. Displays good human relations: Shows tact and understanding. Respectful of others. Exhibits a positive attitude. Comments: Mentor:_____________________________________________ Date:___________________________________ 3 2 1 0 Surgical Floor (4th) Post Rotation Reflection (due on Friday or Monday after Rotation on Unit) Answer the following questions using complete sentences and correct grammar/punctuation. Answer ALL questions. 1. The mentor(s) that I was assigned to was_____________________________________. Their title(s) are_______________________________. 2. What did you like best about your rotation day in the department? Why? 3. What did you like least about your rotation day in this department? Why? 4. What skills did you perform while on this unit? 5. List five pieces of medical equipment that you observed on the unit this week. 6. What patient diagnosis and procedures did you learn about? 7. What medical terminology or abbreviations did you encounter? Name at least three and provide definition or meaning. 8. Interview your mentor. List their educational background, job description, years of experience, and level of job satisfaction. Using the following space, write an essay describing your overall experience on the unit. When reflecting on your day in the unit, think about your responsibility in your learning. What could you have done differently to ensure that you have the optimal experience? ___________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Student Signature___________________________________ Date____________________